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Congratulations on being recommended to join Singles Night! ✨
As this is an invite-only event, you are personally referred by someone we trust and we are excited to have you join this fantastic crowd.

Please fill out the questions below so we can get to know you & make your experience at the event better. Don't worry, all confidentiality of these datas are kept private!

Email *
Name 
 *
Contact number  *
Date of birth *
MM
/
DD
/
YYYY
Age ? *
Gender? *
Which undergrad college did you graduate from ? *
Which grad college did you graduate from ?  *
Instagram account 
 *
⁠Referral person *
Regular Registration fee (food, drinks & free flow alcohol included!):
1. USC Members is IDR 850K
2. Non-USC graduates is IDR 1,150K

When your referral is approved, payment will be required to be transferred to the following account

BCA a/n 0353107159
YAYASAN ALUMNI USC INDONESIA
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